Clarifying the rationale supporting selective screening for asymptomatic carotid artery stenosis

Kosmas I Paraskevas¹, Andrew N Nicolaides², J David Spence³, Dimitri P Mikhailidis⁴, Gaetano Lanza⁵, Christos D Liapis⁶, Guillaume Goudot⁷, Gianluca Faggioli⁸, Rodolfo Pini⁸, Piotr Musiałek⁹, Jasjit S Suri¹⁰, Mauro Silvestrini¹¹, Jose Fernandes E Fernandes¹², Hans-Henning Eckstein¹³, Arkadiusz Jawien¹⁴, Francesco Spinelli¹⁵, Francesco Stilo¹⁵, Piotr Myrcha¹⁶, Tatjana Rundek¹⁷, Stavros K Kakkos¹⁸, Vincenzo Di Lazzaro¹⁹, Alexei Svetlikov²⁰, Pier Luigi Antignani²¹, Pavel Poredos²², Luca Saba²³, Mateja K Jezovnik²⁴, Aleš Blinc²⁵, Sherif Sultan²⁶, Michael Knoflach²⁷, Mateja K Jezovnik²⁴, Laura Capoccia²⁸, Robert M Proczka²⁹, Gustav Fraedrich³⁰, Clark J Zeebregts³¹, Alun H Davies³², George Geroulakos³³, Jean-Baptiste Ricco³⁴, Armando Mansilha³⁵, Alan Dardik³⁶, Peter Gloviczki³⁷

Affiliations

¹ Department of Vascular Surgery, Central Clinic of Athens, Athens, Greece. Electronic address: paraskevask@hotmail.com.
² Department of Surgery, University of Nicosia Medical School, Nicosia, Cyprus.
³ Stroke Prevention and Atherosclerosis Research Centre, Robarts Research Institute, Western University, London, ON, Canada.
⁴ Department of Clinical Biochemistry, Royal Free Hospital Campus, University College London Medical School, University College London (UCL), London, UK.
⁵ Vascular Surgery Department, IRCSS Multimedica Hospital, Castellanza, Italy.
⁶ Athens Vascular Research Center, Athens, Greece.
⁷ Vascular medicine department, Georges Pompidou European hospital, APHP, Université de Paris Cité, Paris, France.
⁸ Vascular Surgery, University of Bologna "Alma Mater Studiorum", Policlinico S. Orsola Malpighi, Bologna, Italy.
⁹ Jagiellonian University Department of Cardiac and Vascular Diseases, John Paul II Hospital, Krakow, Poland.
¹⁰ Stroke Diagnostic and Monitoring Division, Atheropoint(TM), Roseville, CA, USA.
¹¹ Neurological Clinic, Department of Experimental and Clinical Medicine, Marche Polytechnic University, Ancona, Italy.
¹² Department of Vascular Surgery, University of Lisbon, Lisbon Academic Medical Center, Lisbon, Portugal.
¹³ Department for Vascular and Endovascular Surgery, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
¹⁴ Department of Vascular Surgery and Angiology, Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland.
¹⁵ Vascular Surgery Division, Campus Bio-Medico University of Rome, Rome, Italy.
¹⁶ Department of General and Vascular Surgery, Faculty of Medicine, Medical University of Warsaw, Warsaw, Poland.
¹⁷ Department of Neurology, Miller School of Medicine, University of Miami, Miami, FL, USA.
¹⁸ Department of Vascular Surgery, University Hospital of Patras, Patras, Greece.
¹⁹ Neurology, Neurophysiology and Neurobiology Unit, Department of Medicine, Universita Campus Bio-Medico di Roma, Rome, Italy.
²⁰ Division of Vascular and Endovascular Surgery, North-Western Scientific Clinical Center of Federal Medical Biological Agency of Russia, St. Petersburg, Russia.
²¹ Vascular Centre, Nuova Villa Claudia, Rome, Italy.
²² Department of Vascular Diseases, University Medical Centre Ljubljana, Slovenia.
²³ Department of Radiology, Azienda Ospedaliera Universitaria Di Cagliari, Cagliari, Italy.
²⁴ Department of Advanced Cardiopulmonary Therapies and Transplantation, The University of Texas Health Science Centre at Houston, Houston, TX, USA.
²⁵ Department of Vascular Diseases, Division of Internal Medicine, University Medical Centre Ljubljana, Ljubljana, Slovenia.
²⁶ Western Vascular Institute, Department of Vascular and Endovascular Surgery, University Hospital Galway, National University of Ireland, Galway, Ireland.
²⁷ Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
²⁸ Department of Surgery "Paride Stefanini", Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy.
²⁹ 1(st) Department of Vascular Surgery, Medicover Hospital, Warsaw, Poland.
³⁰ Department of Vascular Surgery, Medical University of Innsbruck, Innsbruck, Austria.
³¹ Department of Surgery (Division of Vascular Surgery), University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
³² Department of Surgery and Cancer, Section of Vascular Surgery, Imperial College London, Charing Cross Hospital, London, UK.
³³ Department of Vascular Surgery, "Attikon" University Hospital, National and Kapodistrian University of Athens, Athens, Greece.
³⁴ Department of Clinical Research, University of Poitiers, CHU de Poitiers, Poitiers, France.
³⁵ Faculty of Medicine of the University of Porto, Porto, Portugal; Department of Angiology and Vascular Surgery, Hospital de S. Joao, Porto, Portugal.
³⁶ Division of Vascular Surgery and Endovascular Therapy, Yale University School of Medicine, New Haven, CT, USA.
³⁷ Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, MN, USA.

PMID: 36681248
DOI: 10.1016/j.ijcard.2023.01.028

Comment

Clarifying the rationale supporting selective screening for asymptomatic carotid artery stenosis

Kosmas I Paraskevas et al. Int J Cardiol. 2023.

. 2023 Apr 1:376:174-175.

doi: 10.1016/j.ijcard.2023.01.028. Epub 2023 Jan 18.

Authors

Affiliations

¹ Department of Vascular Surgery, Central Clinic of Athens, Athens, Greece. Electronic address: paraskevask@hotmail.com.
² Department of Surgery, University of Nicosia Medical School, Nicosia, Cyprus.
³ Stroke Prevention and Atherosclerosis Research Centre, Robarts Research Institute, Western University, London, ON, Canada.
⁴ Department of Clinical Biochemistry, Royal Free Hospital Campus, University College London Medical School, University College London (UCL), London, UK.
⁵ Vascular Surgery Department, IRCSS Multimedica Hospital, Castellanza, Italy.
⁶ Athens Vascular Research Center, Athens, Greece.
⁷ Vascular medicine department, Georges Pompidou European hospital, APHP, Université de Paris Cité, Paris, France.
⁸ Vascular Surgery, University of Bologna "Alma Mater Studiorum", Policlinico S. Orsola Malpighi, Bologna, Italy.
⁹ Jagiellonian University Department of Cardiac and Vascular Diseases, John Paul II Hospital, Krakow, Poland.
¹⁰ Stroke Diagnostic and Monitoring Division, Atheropoint(TM), Roseville, CA, USA.
¹¹ Neurological Clinic, Department of Experimental and Clinical Medicine, Marche Polytechnic University, Ancona, Italy.
¹² Department of Vascular Surgery, University of Lisbon, Lisbon Academic Medical Center, Lisbon, Portugal.
¹³ Department for Vascular and Endovascular Surgery, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
¹⁴ Department of Vascular Surgery and Angiology, Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland.
¹⁵ Vascular Surgery Division, Campus Bio-Medico University of Rome, Rome, Italy.
¹⁶ Department of General and Vascular Surgery, Faculty of Medicine, Medical University of Warsaw, Warsaw, Poland.
¹⁷ Department of Neurology, Miller School of Medicine, University of Miami, Miami, FL, USA.
¹⁸ Department of Vascular Surgery, University Hospital of Patras, Patras, Greece.
¹⁹ Neurology, Neurophysiology and Neurobiology Unit, Department of Medicine, Universita Campus Bio-Medico di Roma, Rome, Italy.
²⁰ Division of Vascular and Endovascular Surgery, North-Western Scientific Clinical Center of Federal Medical Biological Agency of Russia, St. Petersburg, Russia.
²¹ Vascular Centre, Nuova Villa Claudia, Rome, Italy.
²² Department of Vascular Diseases, University Medical Centre Ljubljana, Slovenia.
²³ Department of Radiology, Azienda Ospedaliera Universitaria Di Cagliari, Cagliari, Italy.
²⁴ Department of Advanced Cardiopulmonary Therapies and Transplantation, The University of Texas Health Science Centre at Houston, Houston, TX, USA.
²⁵ Department of Vascular Diseases, Division of Internal Medicine, University Medical Centre Ljubljana, Ljubljana, Slovenia.
²⁶ Western Vascular Institute, Department of Vascular and Endovascular Surgery, University Hospital Galway, National University of Ireland, Galway, Ireland.
²⁷ Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
²⁸ Department of Surgery "Paride Stefanini", Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy.
²⁹ 1(st) Department of Vascular Surgery, Medicover Hospital, Warsaw, Poland.
³⁰ Department of Vascular Surgery, Medical University of Innsbruck, Innsbruck, Austria.
³¹ Department of Surgery (Division of Vascular Surgery), University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
³² Department of Surgery and Cancer, Section of Vascular Surgery, Imperial College London, Charing Cross Hospital, London, UK.
³³ Department of Vascular Surgery, "Attikon" University Hospital, National and Kapodistrian University of Athens, Athens, Greece.
³⁴ Department of Clinical Research, University of Poitiers, CHU de Poitiers, Poitiers, France.
³⁵ Faculty of Medicine of the University of Porto, Porto, Portugal; Department of Angiology and Vascular Surgery, Hospital de S. Joao, Porto, Portugal.
³⁶ Division of Vascular Surgery and Endovascular Therapy, Yale University School of Medicine, New Haven, CT, USA.
³⁷ Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, MN, USA.

PMID: 36681248
DOI: 10.1016/j.ijcard.2023.01.028

No abstract available

Keywords: Asymptomatic carotid artery stenosis; Best medical treatment; Carotid artery stenting; Carotid endarterectomy; Stroke.

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Conflict of interest statement

Declaration of Competing Interest None.

Comment on

Why do guidelines recommend screening for abdominal aortic aneurysms, but not for asymptomatic carotid stenosis? A plea for a randomized controlled trial.
Paraskevas KI, Spence JD, Mikhailidis DP, Antignani PL, Gloviczki P, Eckstein HH, Spinelli F, Stilo F, Saba L, Poredos P, Dardik A, Liapis CD, Mansilha A, Faggioli G, Pini R, Jezovnik MK, Sultan S, Musiałek P, Goudot G, Lavenson GS Jr, Jawien A, Blinc A, Myrcha P, Fernandes E Fernandes J, Geroulakos G, Kakkos SK, Knoflach M, Proczka RM, Capoccia L, Rundek T, Svetlikov AS, Silvestrini M, Ricco JB, Davies AH, Di Lazzaro V, Suri JS, Lanza G, Fraedrich G, Zeebregts CJ, Nicolaides AN. Paraskevas KI, et al. Int J Cardiol. 2023 Jan 15;371:406-412. doi: 10.1016/j.ijcard.2022.09.045. Epub 2022 Sep 24. Int J Cardiol. 2023. PMID: 36162523 Review.

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Clarifying the rationale supporting selective screening for asymptomatic carotid artery stenosis

Affiliations

Clarifying the rationale supporting selective screening for asymptomatic carotid artery stenosis

Authors

Affiliations

Conflict of interest statement

Comment on

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